KENT DOUGLAS ENDERLE

FAYETTEVILLE, AR
NPI1922116946
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: AR  PA-256)
Enumeration Date2006-08-29
Last Update Date2007-07-08
Business Address
Mr. KENT DOUGLAS ENDERLE PA-C
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1944
Phone number: 479-443-4301
Mailing Address
Mr. KENT DOUGLAS ENDERLE PA-C
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1944
Phone number: 479-443-4301
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